CANCEROUS LESION IDENTIFYING METHOD VIA HYPER-SPECTRAL IMAGING TECHNIQUE
A cancerous lesion identifying method via hyper-spectral imaging technique comprises steps of: acquiring a plurality of first pathology images via an endoscopy, wherein the first pathology images are cancerous lesion images respectively; importing the first pathology images into an image processing module to acquire a plurality of first simulating spectra of the first pathology images so as to generate a principle component score diagram in accordance with the first simulating spectra; defining a plurality of triangle areas in the principle component score diagram in accordance with the first simulating spectra; determining whether a principle component score of a second simulating spectrum of a second pathology image is within any one of the triangle areas; and confirming the second pathology image belongs to one of the cancerous lesion images when the principle component score of the second simulating spectrum is within any one of the triangle areas.
The present invention relates to a cancerous lesion identifying method, and more particularly to a cancerous lesion identifying method by implementing hyper-spectral imaging technique and principle component analysis.
2. Description of Related ArtWith the development of hyper-spectral imaging technique is well developed, the hyper-spectral imaging technique has been implemented in medical examination, such as early stage oral cancer detection, oral lesions detection of enterovirus, rectal mucosa detection, and so on. Different equipments adopt different kinds of hyper-spectral imaging techniques. Accordingly, one of the conventional hyper-spectral imaging systems is to implement a single point spectrum analyzer with a two-dimensional scanning system. This kind of hyper-spectral imaging system can get best simulating spectrum and spatial resolution, but it is time consuming to read data. Another conventional hyper-spectral imaging system is to implement digital cameras with liquid crystal tunable filters and microscopes, and is used in bone marrow cells detection. This method can separate materials from the bone marrow cells, but the reading speed of the spectrum data is limited by the effect of the liquid crystal tunable filters. Moreover, another one of the hyper-spectral imaging systems is to implement hyper-spectral cameras to perform spectrum and image analysis and has been used in cosmetic and skin detection. This hyper-spectral imaging system has a very high image resolution, but it needs to process huge data and the cost is higher.
Partial test and diagnosis from the endoscopy at an early stage is a key point to reduce mortality rate. The conventional medical treatment detects the esophageal lesions at the early stage by a white light endoscopy technique. The white light endoscopy detection includes three characteristic variations in accordance with the early stage esophageal mucosa: (1) Mucosa color variation with red and white types. The red variations are red regions with clear edges and the mucosa looks rough and muddy. A few of red variations are large red regions with unclear edges. The white variations are mucosa white spots, which are dispersed, have clear boundaries and unequal sizes, and are rough, dull and slightly bumpy. (2) Mucosa becomes thickened and blood vessel structure varies. The skin on the normal esophageal mucosa is translucent and blood vessels under the mucosa are visible. When the skin on the mucosa has cancer lesions, the blood vessels under the mucosa are not transparent. (3) Morphology of the mucosa changes, such as erosion, plaque, roughness, nodule or any combinations thereof. The three aforementioned morphological changes will make the esophageal mucosa lose its normal structure and color. However, when using the conventional white light endoscopy, the detailed structure of the esophageal endoscopy may not be observed clearly, and biopsy and staining techniques are required for diagnosis. The detection method of the chromoendoscopy is to enhance the color contrast between the lesioned and normal mucosas by orally taking, injecting, spraying the agent directly so as to make the color contrast between the lesioned and normal mucosa more clear. So, the chromoendoscopy can help the cancerous lesions identification and the targeted biopsy, and accuracy of the diagnosis of the early stage esophageal lesions can be enhanced. The chromoendoscopy includes the following manners. For example, iodine staining, since the esophageal mucosa is squamous cell epithelium, many glycogens are included within the cells and glycogen has a strong affinity with iodine solution and will be stained brown. On the contrary, when the pathological lesion of the mucosa occurs, cells with glycogen will reduce or disappear and it is not easy to stain mucosa brown with iodine solution. Accordingly, when performing endoscopy, the iodine solution may be sprayed on the surface of the esophageal. If the area of the esophagus cannot be stained brown by the iodine solution, the probability of early esophageal cancer is highly suspected. The iodine staining is one of the most common chromoendoscopies. Toluidine blue staining implements an eosinophilic dye, which has affinity to DNA and RNA in cancer cells and precancerous cells, so Toluidine blue can be used to detect pathological lesions or cancerous lesions. The toluidine blue staining is processed with an absorbent agent. The normal esophageal squamous cells may not absorb toluidine blue and cannot be stained, but intestinal cells and cone cells may absorb toluidine blue and are stained blue. Therefore, the toluinine blue staining is usually used in the detection of esophageal adenocarcinoma. However, according to medical literature, the toluidine blue may cause the damage of the DNA and the toluidine blue staining is time consuming and relied on the operator's experience. Acetic acid staining may cause cytoplasmic proteins within the cell to have reversible changes. The acetic acid staining is normally used at a concentration of 1.5% to 3%. After 2 to 3 minutes spraying, the esophageal squamous mucosa still shows white color but the esophageal columnar epithelium turns red so as to recognize the remaining cone cells. Because of the uneven dye concentration, the improper spraying method or the limitation of the agent, staining difference may occur at the pathological lesions, and the positioning may not be accurate or lesions may be missed. Accordingly, single staining is limited and double staining may be used to resolve these limitations.
Except for the aforementioned chemical chromoendoscopy, there is electronic endoscopy technique, such as Narrow Band Imaging (NBI) or Fujinon Intelligent Chromoendoscopy (FICE). Both of the methods are based on selecting a certain wavelength spectrum. The NBI implements the bandwidth of the narrow spectrum of the filter. The FICE is to divide the conventional white color into many spectroscopic images each with a single signal wavelength and some of the spectroscopic images with the proper wavelengths are selected to be combined.
Since the choromoendoscopy detection is very difficult, the medical literature provides two sensitive and convenient clinic methods to identify benign or malignant lesions: Multiphoton Microscopy (MPM) and Surface-enhanced Raman Scattering (SERS) with polymer nonoparticles, which are also used in cancerous cells detection because of the advancement in Biology. By the signals in Two-Photon Excited Fluorescence (TPEF) and Second Harmonic Generation (SHG) in MPM, the esophageal lesions can be identified by the difference of the background signal and autologous fluorescent. As shown in
However, early stage lesions are not obvious under the white light detection, and the lesions are easy to be ignored and the treatment is delayed. Since the endoscopy technique is well developed in recently years, the endoscopy working with some of the chemical and optical principles can enhance the tiny esophageal lesions to increase the diagnosis rate of the early cancerous lesions, such as Lugol's chromoendoscopy and NBI endoscopy. However, the Lugol's chromoendoscopy will spray dye to have development results, but the dye is not evenly distributed, causing the difficulty of the determination. In addition, the dye may make the patient's chest feel uncomfortable such as tingling or burning. NBI will involve certain subjectivity in analysis of images and is affected by some factors. For example, when the lesions, such as blending or inflammation, occur, the vision is fuzzy and the resolution of the images is poor. If the patient has some other significant organ dysfunctions, such as heart disease, lung disease or unstable conditions, the condition and the function of the organ have to be evaluated carefully to determine if the patient is suitable to do the test. In the detection of the esophageal cancer, the NBI is the current mainstream technology without spraying dye to include optical dye effect and the operation thereof is very easy. Only one button is to push to switch between the white light mode and the NBI mode so as to repeatedly observe. However, the detection is based on observing surface vessels, such as the changes in Intra-epithelial Papillary Capillary Loop (IPCL), much relying on the subjective determination of the clinicians.
According to the working theory of the aforementioned NBI, the blue light and the green light with two narrow frequencies (415 nm and 540 nm) respectively are filtered by Xenon with a specific filter. Angiogenesis occurs on the mucosal surface at the early stage of the esophageal cancer, and the passing-through depth of the visible light is deeper when the wavelength of the visible light is longer. Therefore, the red light is abandoned and only the blue light and the green light are considered. The Charge-coupled device (CCD) will receive the reflective light of the mucosa emitted by the blue light and the green light with narrow frequencies. The reflective light is converted to digital signals and the digital signals are divided into three channels (R, G, B) by a color reorganization manner in accordance with human color vision sensitivity. The blue light (415 nm) is distributed to B and G channels and the green light (540 nm) is distributed to R channel Finally, the endoscopy with the blue light and the green light may display color image by a color image processing. The aforementioned method may sharpen the image of the tiny blood vessels on the mucosal surface and strengthen the contrast. If the magnification of the endoscopy is implemented, the lesions may be magnified more than 80 times. Therefore, the clinicians may clearly observe the lines, the arrangement and the size variation of the veins on the surface of the lesions. Therefore, by observing the differences of the areas of the brown lesions, the diagnosis rate of the early stage esophageal cancer may be efficiently increased.
Principle component analysis is a common method in multivariate statistics and people have used the principle component analysis in color technique since 1960. The idea of the principle component analysis is to find a subspace with the data set having multiple variables, and the subspace may keep data variation and the number of the principle components is less than the number of original variables. The original data is projected into the subspace to perform an analysis. The main purposes of the principle component analysis are: (1) to define a large amount of spectrum information in a spindle direction and (2) to simplify the information data. After resetting the original data, highly correlated and mutually independent variables are calculated and the variables are analyzed to get the principle components. The variations in most of the data within the original information may be explained. The example in
Therefore, if the hyper-spectral imaging technique can work with the principle component analysis, a new optical detection method may be provided. The clinicians may quickly identify the esophageal lesions at the early stage by comparing the results of the principle component analysis diagram and checking the tendency of the spectra characteristics for IPCL type variation of the esophageal cancer lesions in the NBI endoscopy images, and the spectra characteristics of the normal tissues, precancerous lesions and cancerous lesions of the esophagus in the white light and iodine endoscopy.
SUMMARY OF THE INVENTIONAccordingly, an objective of the present invention is to provide a cancerous lesion identifying method via hyper-spectral imaging technique to quickly evaluate the probabilities of cancer at various stages.
According to the aforementioned objective, a cancerous lesion identifying method via hyper-spectral imaging technique comprises steps of: acquiring a plurality of first pathology images via an endoscopy, wherein the first pathology images are cancerous lesion images respectively; importing the first pathology images into an image processing module to acquire a plurality of first simulating spectra of the first pathology images so as to generate a principle component score diagram in accordance with the first simulating spectra; defining a plurality of triangle areas in the principle component score diagram in accordance with the first simulating spectra; determining whether a principle component score of a second simulating spectrum of a second pathology image is within any one of the triangle areas; and confirming the second pathology image belongs to one of the cancerous lesion images when the principle component score of the second simulating spectrum is within any one of the triangle areas.
By the cancerous lesion identifying method via the hyper-spectral imaging technique in the present invention, the cancerous lesion images are digitized and the diagnosis rate of the clinicians may be efficiently increased to help the patients to start the treatments as soon as possible.
The 24 color mini color checkers are filmed under the environment of the endoscopy. The output format of the 24 color mini checkers is sRGB (JPEG image data). By the calculation of the computer, Red (R) value, Green (G) value and Blue (B) value (0-255) at each of the mini color checkers can be obtained and are converted into Rsrgb, Gsrgb, and Bsrgb with smaller range (0-1). By the following equations, those RPG values are converted into tristimulus values X, Y, and Z under International Commission on Illumination (CIE) standard. The equations are:
Standard white is a reference white light of D65 light source at the s(standard)RGB and D65 light source is a most common artificial sunlight, and the D65 light source and the light source of the endoscopy measured by the spectrometer are different reference white lights. Therefore, those RGB values are required to perform correction by color adaption. In order to precisely calculate spectra values of the mini color checkers, the correction of the endoscopy is necessary. Similarly, the spectra measured by the spectrometer are converted into the tristimulus values X, Y, and Z under the CIE standard by the following equations (4)-(7) and S(λ) is light source spectra of the endoscopy, R(λ) is the spectrum value for each of the mini color checkers and
The 24 mini color checkers are converted into XYZ values by the equations (4) to (7). By the conversion of the color adaption, new XYZ values can be obtained and the XYZ values are converted back to the RGB values. Then, the RGB values are set into the matrix [A]. The conversion relationship between the spectrometer and the endoscopy can be found by three-order polynomial regression of the RGB values. The three-order polynomial regression of the matrix is:
[C]=[A]pinv[B] (8)
where
[B]=[1, R, G, B, RG, GB, BR, R2, G2, B2, RGB , R3, G3, B3, RG2, RB2, GR2, GB2, BR2, BG2]T (9)
“R”,“G”,“B” are the corresponding RGB values at each of the mini color checkers filmed by the endoscopy. The RGB correlation of the mini color checkers are converted into the tristimulus value XYZ under the CIE standard and are set to be [β]. Finally, the conversion matrix [M] of the endoscopy and the spectrometer can be obtained by:
[M]=[α]pinv[β] (10)
Each of the pixels at the first pathology image filmed by the endoscopy times the RGB values to obtain the linear regression [C] and is calculated by the equations (1) to (3) to obtain the corresponding XYZ value. The spectra for each of the mini color checkers (wave band 380 nm to 780 nm) are measured by the following equation:
In this step, the spectrometer measures spectra reflected from or penetrated by an object. The spectra are inputted into the equation (11) to calculate colors. Each of the pixels in one piece of the picture can perform color image recovering by the equation (11). The color image is calculated by the stimulated spectrometer measurement.
Therefore, a comparison between stimulation spectra and practical measuring spectra for the 24 mini color checkers are shown in
Firstly, the tristimulus XYZ values measured by the endoscopy and the spectrometer are converted into chromatic coordinates (L*, a*, b*) under the CIE 1976 standard, where:
Thereafter, Euclidean distance between two points at the chromatic coordinates under the CIE 1976 standard is the color difference of the two points:
ΔEab*=√{square root over ((ΔL*)2+(Δa*)2+(Δb*)2)} (16)
Each of the color difference values of the 24 mini color checkers can be calculated by the aforementioned equations. The average color difference value is about 3.14 as shown in
In step S102, the first pathology images are imported into an image processing module to obtain a plurality of first stimulating spectra of the first pathology images. The image processing module is made of a computer installed with software having functions of hyper-spectral imaging processing. The software having function of hyper-spectral imaging processing can be developed by program design software, such as Microsoft Visual Basic and so on.
In accordance with histopathology, the white light images and the iodine staining images are divided into four different types: Normal, Dysplasia, between Dysplasia and Esophageal Cancer (ECA), and ECA. The cells abnormally grow or develop to be cancerous cells are called Dysplasia. The NBI enlarged images are divided into four types: Intraepithelial papillary capillary loop type 4 (IPCL-IV severe Dysplasia), IPCL type 5-1 (IPCL V1 Severe Dysplasia), IPCL type 5-1, IPCL-V1 Squamous Cell Carcinoma (SCC) (IPCL-V1 SCC), and IPCL type 5-3 (IPCL-V3 SCC).
By the aforementioned steps, the first pathology images are converted by the hyper-spectral imaging technique and the stimulation spectra of the first pathology images is obtained. The aforementioned image processing steps, such as gray scale processing, image contrast strengthening, image thinning processing and image reading, and so on, can be performed by an image processing module in the present invention. The image processing module performs the image processing by the image processing application software via the computer. The image processing is well known by the person having ordinary skill in the art, and the detailed description thereof is omitted herein.
The average reflective spectra of the lesions at the white light, iodine staining or NBI endoscopy are obtained by the hyper-spectral imaging technique. The images at the white light and Lugol's chromoendoscopy are sampled by 400 (20×20) pixels. The first pathology images at the NBI endoscopy directly and automatically circle the IPCL types. Therefore, the number of the sampled pixels is larger and one thousand coordinates are sampled during the experiment period and one thousand reflective spectra may be obtained.
In view of the difference of the reflective spectra in
The characteristics of the spectra for the white light, iodine staining and NBI endoscopy may be obtained by the principle component analysis and the principle component score diagrams in
With reference to
The principle component is recognized from the perspective of ease of observation of the data, so the characteristics in each of the data can be seen clearly. Each of the sample values seen in the principle component is called principle component score. The equation of the principle component score is as the following:
yj=aj1(x1i−
Where x1i, x2i, . . . , xni are the corresponding spectrum stength values for the first, second to nth wavelengths respectively and
In order to evaluate the cancerous stages occurring to the patients, the principle component score of the stimulating spectra of the image in the endoscopy for the patient is determined to be located with the triangle areas or not, which can be determined by the detection method of the triangle areas. As shown in
In accordance with the area of the ΔABC, if one X point is given and the coordinate thereof is X(s, t), the areas of ΔXAB, ΔXBC, and ΔXAC can be calculated. If the X point is located outside of the ΔABC, the following condition will be satisfied:
ΔXAB+ΔXBC+ΔXAC>ΔABC (19)
If the X point is located on the edge of or outside of the AABC, the following condition will be satisfied:
ΔXAB+ΔXBC+ΔXAC=ΔABC (20)
According to the determination method of the triangle area, whether the principle component score of the stimulating spectra of the image in the endoscope for the patient is located within one of the aforementioned and defined triangle areas, such as the area of the IPCL-IV severe dysplasia, IPCL-V1 severe dysplasia, IPCL-V1 SCC and IPCL-V3 SCC, may be known.
Finally, in the step S105, when the principle component score of the second stimulating spectrum is located within one of the triangle areas, the second pathology image is confirmed to belong to one cancerous lesion image. The detection for four different cancerous lesions is shown in the following.
The principle component score is set to be a testing point. If the testing point is located within the triangle area, the lesion image for the testing point belongs to the stage of cancerous lesion. For example, the esophageal cancer with 1 to 4 stages:
1. IPCL-V3 SCC: U is the testing point. If the following condition is satisfied (ΔUDE+ΔUEF+ΔUDF=ΔDEF), the patient belongs to this cancerous lesion stage.
2. IPCL-V1 SCC: U is the testing point. If the following condition is satisfied (ΔUDE+ΔUEF+ΔUDF=ΔDEF), the patient belongs to this cancerous lesion stage.
3. IPCL-V1 V1 severe dysplasia: U is the testing point. If the following condition is satisfied (ΔUDE+ΔUEF+ΔUDF=ΔDEF), the patient belongs to this cancerous lesion stage.
4. IPCL-IV severe dysplasia: U is the testing point. If the following condition is satisfied (ΔUDE+ΔUEF+ΔUDF=ΔDEF), the patient belongs to this cancerous lesion stage.
5. If the testing point of U does not satisfy the aforementioned condition, U cannot be detected.
According to the cancerous lesion identifying method by hyper-spectral imaging technique, the cancerous lesion image is digitized and the principle component analysis is used to quickly evaluate the probability of the occurrence of the cancer at each of the stages for the patient. The diagnosis of the doctor is effective and fast to help the patient to have early stage treatment.
Claims
1. A cancerous lesion identifying method via hyper-spectral imaging technique, comprising steps of:
- acquiring a plurality of first pathology images via an endoscopy, wherein the first pathology images are cancerous lesion images respectively;
- importing the first pathology images into an image processing module to acquire a plurality of first simulating spectra of the first pathology images so as to generate a principle component score diagram in accordance with the first simulating spectra;
- defining a plurality of triangle areas in the principle component score diagram in accordance with the first simulating spectra;
- determining whether a principle component score of a second simulating spectrum of a second pathology image is within any one of the triangle areas; and
- confirming the second pathology image belongs to one of the cancerous lesion images when the principle component score of the second simulating spectrum is within any one of the triangle areas.
2. The cancerous lesion identifying method as claimed in claim 1, wherein the first pathology images and the second pathology image are imported into a hyper-spectral imaging system to obtain the first simulating spectra and the second simulating spectrum.
3. The cancerous lesion identifying method as claimed in claim 1, wherein the step of defining the triangle areas in the principle component score diagram in accordance with the first simulating spectra includes steps of:
- converting the first pathology images to be gray scale via a gray scale image converting module;
- enhancing contrast of the first pathology images via an image enhancing module;
- binarizing the gray scale of the first pathology images via an image binarizating module;
- recording a plurality of pixel coordinates of the first pathology images after binarization; and
- generating the principle component score diagram by exporting the pixel coordinates of the recorded first pathology images.
4. The cancerous lesion identifying method as claimed in claim 1, wherein the step of defining the triangle areas in the principle component score diagram in accordance with the first simulating spectra is to implement a principle component analysis method to generate the principle component score diagram.
5. The cancerous lesion identifying method as claimed in claim 1, wherein the principle component score is a test point located within one of the triangle areas, and the second pathology image is determined to be a precancerous lesion corresponding to one of the triangle areas when the test point is located within one of the triangle areas.
6. The cancerous lesion identifying method as claimed in claim 1, wherein the first pathology images are a plurality of esophageal lesion images.
7. The cancerous lesion identifying method as claimed in claim 1, wherein the first pathology images and the second pathology image are epidermis intravascular images.
8. The cancerous lesion identifying method as claimed in claim 1, wherein the triangle areas are maximum triangle areas in the principle component score diagram.
Type: Application
Filed: May 4, 2016
Publication Date: Nov 9, 2017
Patent Grant number: 9895112
Inventors: Hsiang-Chen WANG (Chiayi County), Shin-Hua CHEN (Chiayi County), Shih-Wei HUANG (Chiayi County), Chiu-Jung LAI (Chiayi County), Chu-Chi TING (Chiayi County)
Application Number: 15/146,123